Individual
TAYLOR PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
575 CHILDRENS XRD # WB2253, COLUMBUS, OH 43215-5594
(614) 355-6897
Mailing address
575 CHILDRENS XRD # WB2253, COLUMBUS, OH 43215-5594
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
70.000631TEMP
STATE MEDICAL BOARD OF OHIO
OH
Enumeration date
08/23/2021
Last updated
08/23/2021
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